Reply to Klonopin is a heck of a drug

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Different psychiatrist here. Agree benzos have their place and can be tremendously helpful, but there are very few cases where daily use is warranted. I have had a much easier time tapering off daily benzos (for inherited patients either from elderly psychiatrists or undertrained, overaggressive nurse practitioners) than tapering off daily THC in any form. When I see a new patient who is smoking weed or using gummies daily, I know from experience there's almost nothing I can do to help them with their problems until they stop using, and even if they want to (which is rare), there just aren't any resources out there to help them stop, and it's so hard. The few who do eventually stop do much better.[/quote]

Question on the benzos … I lurk on various psychiatry blogs and podcasts, and I hear one psychiatrist say that in very, very rare case that a person actually needs benzos for extreme GAD, that it should be a daily dose and not PRN. What’s your opinion on that? It kind of makes sense to me because in that case the goal is to reduce anxiety on an overall basis, not treat panic attacks. This Dr was pretty clear that this was a very rare case. [/quote]

Yes, I have seen a few cases over the years; not many that I couldn’t address well enough by other means though. Beyond the dependence/withdrawal issues, daily benzos tend to lose efficacy over time and then they are back where they started, so I try to avoid this (note this is a totally different situation than sporadic use, or daily use for a few weeks for an acute crisis). They do work very very well when they’re used appropriately, though.[/quote]

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